CHARLES LUTHER – Anesthesiologist Assistant, NPI 1134485972

CHARLES LUTHER is a healthcare provider. based in Kennesaw, Georgia. specializing in ANESTHESIOLOGY ASSISTANT. The NPI Number for CHARLES LUTHER is 1134485972

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES LUTHER
NPI
1134485972
Phone
Not provided
Address
4295 COUNTRY GARDEN WALK NW
Enumeration Date
5 April 2012
Last Update Date
5 April 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9544925728
Graduation Year
2012 (14 years ago)
PAC ID
6709036304
Group Practice PAC ID
1850298365
Professional Enrollment ID
I20140107001096
Address ID
FL333084603FT4725XDEPA601
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:14State licenses:0Digital endpointsOther names

1,383 ANESTHESIOLOGY ASSISTANT in GA

Provider Addresses for CHARLES LUTHER

  • 4295 COUNTRY GARDEN WALK NW

    KENNESAW, GA 301522399

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $201.

Total Amount is formed as General ($201) + Research ($0) + Ownership ($0) = $201.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Boston Scientific Corporation ($163).

Total Amount

$201

General + Research + Ownership

Payments

4

Total payment records

General Amount

$201

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-01-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140107001096IAnesthesiology AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope2828$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2323$0
00813Anesthesia for procedure on small and large bowel using an endoscope1717$0
01922Anesthesia for x-ray or radiation therapy1414$0
00812Anesthesia for exam of colon using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 30152)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850298365View full group profile
NameSpecialtyState
Thoracic Surgery, Cardiac SurgeryIN
O B S T E T R I C S/ G Y N E C O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineFL
Orthopedic SurgeryFL
Anesthesiology, Pediatric MedicineFL
Gastroenterology, Internal MedicineFL
A N E S T H E S I O L O G YAL
Nurse PractitionerFL
Physician AssistantFL

Reviews

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Frequently asked questions

What NPI should I save for CHARLES LUTHER?
Save NPI 1134485972 if you need a stable reference for CHARLES LUTHER.
Is CHARLES LUTHER active in the national directory?
CHARLES LUTHER's public NPI profile is in an active state.
Does CHARLES LUTHER list a primary specialty?
If you are matching referrals, note Anesthesiologist Assistant for CHARLES LUTHER. Clinical services aligned with this taxonomy classification.
Does CHARLES LUTHER practice in Georgia?
You will see Kennesaw, Georgia on file for CHARLES LUTHER alongside any extra practice locations.
How can I contact CHARLES LUTHER?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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